Charles Keyu Park, MD - Medicare Psychiatry in Lone Tree, CO

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Charles Keyu Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lone Tree, Colorado. He went to New York Medical College and graduated in 2001 and has 23 years of diverse experience with area of expertise as Psychiatry. His current practice location is 10099 Ridgegate Pkwy Ste 420, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 800-6463.

Charles Keyu Park is licensed to practice in Colorado (license number CDRH42664) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1235214131.

Contact Information

Charles Keyu Park, MD
10099 Ridgegate Pkwy Ste 420,
Lone Tree, CO 80124-5536
(303) 800-6463
(303) 500-6585

Map and Direction




Physician's Profile

Full NameCharles Keyu Park
GenderMale
SpecialityPsychiatry
Experience23 Years
Location10099 Ridgegate Pkwy Ste 420, Lone Tree, Colorado
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Keyu Park attended and graduated from New York Medical College in 2001
  NPI Data:
  • NPI Number: 1235214131
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769585413
  • Enrollment ID: I20100609000647

Medical Identifiers

Medical identifiers for Charles Keyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235214131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0802XPsychiatry & Neurology - Addiction Psychiatry CDRH42664 (Colorado)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry CDRH42664 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Keyu Park allows following entities to bill medicare on his behalf.
Entity NameAgami Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194183020
PECOS PAC ID: 2062842776
Enrollment ID: O20200421001692
Entity NameThe Mind Store, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437891348
PECOS PAC ID: 5395127526
Enrollment ID: O20240423000208
Entity NameTms Store
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447956115
PECOS PAC ID: 0749622520
Enrollment ID: O20240524000547

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Keyu Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Keyu Park, MD
10099 Ridgegate Pkwy Ste 420,
Lone Tree, CO 80124-5536

Ph: (303) 800-6463		Charles Keyu Park, MD
10099 Ridgegate Pkwy Ste 420,
Lone Tree, CO 80124-5536

Ph: (303) 800-6463

Reviews and Comments


Psychiatry & Neurology Doctors in Lone Tree, CO

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Dr. Constantinos Vrakas, DO
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Dr. Robert William Schabbing, MD
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Ashley Elizabeth Lewis, M.D.
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Phone: 303-683-5620    Fax: 303-683-5609
Dr. Heidi G Ray, M.D.
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Phone: 303-338-4545    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.